17C-324 (2) 44 HIGH ST BP-2017-0141
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17C-324 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:renovation BUILDING PERMIT
Permit BP-2017-0141
Project# JS-2017-000230
Est. Cost: $26500.00
Fee: $172.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: VALLEY HOME IMPROVEMENT INC 106006
Lot Size(sq. ft.): 12763.08 Owner: MARTIN ANNELISE 1
Zoning: Applicant: VALLEY HOME IMPROVEMENT INC
AT: 44 HIGH ST
Applicant Address: Phone: Insurance:
P O BOX 60627 (413) 584-7522 Workers Compensation
F L O R E N C E MA01062 ISSUED ON:8/4/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:CONVERT PORCH TO 3 SEASON ROOM & ADD
1/2 BATH
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 8/4/2016 0:00:00 $172.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File?BP-2017-0141 IONb" \ 0IC
APPLICANT/CONTACT PERSON VALLEY HOME IMPROVEMENT INC J
ADDRESS/PHONE P O BOX 60627 FLORENCEOI062(413)584-7522 112.064" ARA/t)t
PROPERTY LOCATION 44 HIGH ST
MAP 17C PARCEL 324 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid J6-7 /(�/%�
Building Permit Filled out FI
Fee Paid
Typeof Construction: CONVERT PORCH TO 3 SEASON ROOM&ADD 1/2 BATH
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 106006
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
LA-pproved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance'
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
a
`/ may/(
Signature of Building meal Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
* Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of
Planning&Development for more information.
'
RECEIVED Department use only
I of Northampton Status of Permit:
pus � ' B Ildln9 Department Curb Cut/Driveway Permit
12 Main Street Sewer/Septic Availability
Derr OF auuiu
nc INSPECTIONSRoom 100 Water/VVell Availability
NORTHAMPTON,PM 01060 NM, ampton, MA 01060 Two Sets of Structural Plans
phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans
Other Specify
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address:
This section to be completed by office
9/ 4151) c Map Lot Unit
f10(-BrJ('L Zone Overlay District
Elm St.District Ce District
SECTION 2-PROPERTY OWNERSHIP!AUTHORIZED AGENT
2.1 Owner of Record:
•
-11Mar-hn LH- F'ic a-7ce Na
A 9 UOiom2
N Print) Current MailiAddress:qg 499g0
Telephone V' O
Si n�tur
2.2 Authorized A•ant:
3tP WOW-r�zrn Pio - Six (.60192.7 FIcuencc*A- 6totoz_
Name(Print) // Current MailingAddress:
t' 413 58'-1-.1522
Signature Telephone
SECTICt`h°3.-ESTIM A.'ED Come mum-tom COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed^ by permit applicant L
1. Building t 0 f70 (a)Building Permit Fee
Electrical I 100 I (b)Estimated Total Cost of
l I I Constriction from (6) f
. numbing I DDD dd n Pe t',se I
I
4. Mechanical (HVAC) I
5. Fire Protection
6. Total=(1 +2+3+4+5) It 14c0 co c> Check Number -3 ,c 757 0' 1701-
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature: _.. .
ii
B'audn;;Co.:,m issionerlInspa:to r of Buildings Dais
I
Section 4. ZONING All Information Must Se Completed.Permit Can Se Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
293 Aries N' (c-
Lot Size //
Frontage
YJJ / 5/
Setbacks Front '3"j I /
Side L: R:R: 1 L:2 R:
Rear
Building Height a3'
Bldg.Square Footage 8 z "797% i 0 4atYgU
Open Space Footage % _
(Lottarcaminus bldg&paved 1I JoO -c f11 150 23
thing)
d j
N of Parking Spaces ' • Z
Fill: _. . .. _..
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO Q DONT KNOW Or YES Q
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
Nu c......) DO:".'T KNOW i 1 YES Q
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or.wetlands? NO DON'T KNOW Q YES Q
DF YES, has a permit been or need to be obtained from the Conservation Commission?
hceedc to be otat Ined 0 rest:-rod (3 Rafe Neee,ed:
C. Do any signs exist on the property? YES Q NO -8,
IF YES, describe size, type and location: `\�,
D. Are theret proposed 4onges to e:4: roe of de t pro- ? YES Q HO p� }
IF YES, de-scribe Size, type and location: /IYY...��iii
E. ei me=amass==_cute m tumlae no gsni a _m i„n or fame)over1 sore or ii'nrl of a cu non plan
("`� E
that miller r rb .overi YES `0 NO
Sev-
IF YES,then a Nord,empton Storm Water Management Permit from the DPW is required.
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) EfEj Roofing ❑
Or Doors ❑
Accessory Bldg. ❑ Demolition ❑ New Signs [61 Decks [❑ Siding[O] Other rQ]
Bdef Description of Proposed 3 /���
Work: nut) ,L 0idTtJ To 15X6t7l b✓T; COAW& li .R'u.Ornw Pt!C/1 , eici.,�/€
Alteration of existing bedroom Yes No Adding new bedroom Y¢s X No NO :Ncicro,e4 L.
Attached Narrative Renovating unfinished basement V Yes No XPRrh
/ro
Plans Attached Roll -Sheet a !Kra,'Ad-
SA ft Frear house and or addition to es st na heuslncf. r<olslu6ete Che feHoWinto
a. Use of building :One Family Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
•
c. Is there a garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
E Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 100 ft.of wetlands? Yes No. Is construction within 100 yr. floodplain _Yes No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes No.
I I. Sentra Tank City Sewer Private well City water Supply
1 SECTION?a•OCh"NER AUT[?ORIZATEOEQ•TO EE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
Amnesic. \�ktr
1 property \\\\ �,,��,, ��^���'���.� 1111 � �,�,',� ,' 1 (' .— __.� _ ..c_ .- _ 1
I
hereb authorize kkin a (I YJar I fbyt� SI- im Si kleyr-0 em
to et my behalf,in all m rs relative to works authorized by this building permit application.
Signatur of Owner Date
i I. CC
i�4i'e xm V1l``
V'envmOjD as Owner/Authorized
Age-'kafeks d_care7 _>_eme •'crmf the fnrsosion r-.1icgtrgnand am o the b... rµ:.dry-
Signed under the pains and penalties of perjury.
signet/E.of finer/.A.Cerlt _ Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable 0 (}
Name of License Holden -CC..\:.. nr1CCn-n Crl
License Number
2k> CCx / C 1I^� \1O. C AC13 (0 \21 \A.
!f
Address,, � Expiration Date Co- PA—icpaa
Si Telephone
9. Reeaistered Home Improvement Contractor: I Not Applicable ❑
Company Name Registration Number
e/0 _ ox R,G=f a i 7/12 //s •
Address `/y r� n ` - Expiration Date
1kh'c (e �f€/l is\llfr Telephone 5(]�{—
+ SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.I.C. 152,§25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes gi1 No...... ❑
11. h. Home Owner Eremptfen
The cu,e,t exemption for"bomeow .s"was extended to include Chstner-accurded Cwei to a Of one(I) or two(2)families
and to allow such homeowner to engage an individual for hire who does not possess a license,presided chat the owner acts
ac supervisor.CHR ffifit, Seth Edition Section LCfii.5.1.
Pbetemettun ofF4omeawner:Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there
is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm
stmcatres.A nersett who constructs more than ono home to m two-veer pneruod shall not be cansldered a homeowner,.
Such"homeowner"shall submit to the Building Official, on a form acceptable to the Building Official. that he/she shall be
tog:Foust:hit intcolt lPn.i HerSUrmece eq! er Ite ,F£d'n.a perSt.
As acting Constro edon Supervisor;our presence on the lob site will be remixed from time to time,during and upon
completion of the work for which this permit is issued.
Also be advised that with reference to Chapter 152(Workers'Compensation) and Chapter 153(Liability of Employers to
Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you mew be lla_ble for person(s)
you hire to perform work for you under this pent.
The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of
Northampton Ordinances,sate and Local Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
City of NoiThalipten 212 maim. Street, t eersh=mpton, MA 01060
Solid Waste Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as
a condition of the building permit all debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly
licensed solid waste disposal facility, as defined by MGL c 111, S 150A.
Address of the work: ISA Vp.S\—
The debris wil( be transported by: Nll x1 U4 • OA— u!
The debris will be received by: \30119, C�S�t
Building permit number: a
Nan-le rmit Applicant �i $1 , w w 7'4i �, i. __• i to--
74/� x_ k71
Date Slurature of Permit Applicant
The Cbin.mv ,'e.i!Th ofM._,siirki nems
Departteent f et/mettle!Acctdet25
O i'/Yr esfigtulons
600 WesJiington Street
- _-- Boston,MA 02111
w-ww.raass.gov/din
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): N a.��t1.A {nc ionte(O' 1'b"lefl ' , -Tf C _
�J
Address: 3-\0 hl�.-Cv-S\`dc S,If'‘V3-e
City/State/Zip: A" \orerICC �_ C I�Pb e#: LI,I 3--S%L1 S22
Are you an employer? Check the appropriate box: Type of project(required):
i.a, I am a employer with 1B 4. ❑ I am a general contractor and I
employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction
listed on the attached sheet. 7. 0 Remodeling
2.❑ I am a sole proprietor or partner-
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. employees and have workers' 9 ❑Building addition
[No workers' comp. insurance comp. insurance.:
required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their I1.0 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MOL 12.0 Roof repairs
insurance required.] I c. 152, §1(4),and we have no
employees. [No workers' 13.0 Other
comp.insurance required.]
'Any applicant that checks box#t must also fill out the section below showing their workers'compensation policy information.
'Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
/Contractors that check this box must anached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. if the sub-contractors have employees,they must provide their worker&comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information. /'
Insurance Company Name: %/hf.*,AO . Lltl la OnC-2 6 fZ'XjP
r
Policy#or Self-ins. Lie.F: CC'o`` OOC Z 15 Expiration Date:'e (--'( I l I 17
7
Job Site Address: �y' City/State/Zip:-Avery(cry(\-Ar Ol.N.0 ,
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGT c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 andlor one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDPR anal a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance.coverage))aim:fcation.
I do hereby certify J I the pains aid penaltil perjury that the information provided above isistrue and correct
Signature: •I!' J//)� /U'i. / 111/ 42 A/.si ^ Date: f I let M`6
Phone if: �,\a— Qq,'IS
ll i
II Official use only. Do not write in this area,to be eompJsted by oily or town official If
i +;
City or Town: Permit/License 4
Issuing Authority(circle one): o
1. Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector li
I 6 Other
Contact Person: LL Phone H:
Massac S its :err ;it PUO”C S3tety
Boar:107 Buott.og Reguott Els and Startlards
gens CS-077279
Is-sr-fifJ DC(WsU
STEVEN A SILVERMAN
268 FOMER ROAD
SOUTHAMPTON MA 01073
Ni—" CAimEE Exp.raton
COfnmissioner 0612112013
k
-- ir'r r if//I/
Office of Consumer Aft irs and Business Re,2ulation
10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration: 105543
Type Private Corm:r_tion
Expiration. 7/172018 Tr: 4132
VALLEY HOME IMPROVEMENT INC.
STEVEN SILVERMAN
P.0. Box 60627
FLORENCE. MA 01062
rpdnte A.drag.and return if AIArl,rrman far ch.vrrvr_
Addrn, Reno.n1 kinpier mom I.o,r (:uJ
nitire oft<minima Minim S HuhR : laiinn t.ICense or rubs tration xnlid for in dit iduul uhe only
HOME IMPROVEMENT CONTTRACTOR. re the espiration dun. If found return to:
Registration. irc ! Type: Orrice of Comunrer i fi. tr and BLISirlt,S Regulation
Expiration: ,. ... f .,.. Li PArt‘ t 5.
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t mirroirreur. Net .tirl ntth t cure
94ara ,e p,op/mwty wo/x Procuc y vy Purpose o,suppo . .
apfm For the purpose of obin ge wo, o 'c°^q a,vae ger/Bern the m en omo . .�„re�urtar eo spa .�°"c Tao
go..upn�wmq the work rr n+POlgq project nom aerure wxowp Sao or,and conxoaeanoa paero.vm. rrer°"°°�'d ” p° ' orPreee.�w nyfry
HIGH STREET
65'
• Ui
,•r
75, -
EXISTING
HOUSE
75,
•
29
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SETBACK
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SCREEN
•
PORCH TO
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CONVERSION
hi PROPERTY LINE
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65.72'
PLOT$.AT
PARCEL ID: 17C-324-001
BOOK/PAGE. 11669/43
ZONING: URB 101
LOT SIZE 293 ACRES
BUILDING ENVELOPE'. 992 SQ.FT
TOTAL.LIVINGAREA 135250.FT.
FRONT HEIGHTAT RIDGE: +5 25 FT
REAR HEIGHT AT RIDGE: +425 FT.
FRONTAGE: 65 FT PLOT PLAN 20 0 20 40 BB
SETBACKS: SCALE: 1:20
FRONT: le FT.
SOE: 15 FT.
REAR: 20 FT.
SOIL DENSITY: '2,000 PSF ALLOWABLE(ASSUMED).
FROST DEPTH 5150'
WIND: 90 MPH(90 MPH 3 SEG GUST),EXPOSURE B,/
Valley Home Improvements Inc.
41 HIGH MBER
340 Riverside Drive, PO Box 60621, Northampton, MA 01062 STREETFLORENCEMA01062 PLOT PLAN unreenreo1e /�
Office Phone 413.584,1522 Fax 413535.0320 ANNELISE MARTIN DRAWN&V.S.C4 1L/
Find us on the web at: uAsw.V8iae41-tomeim4rovement.aom J .W.
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Plan Review
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